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  4. Knowledge, Attitudes, Behavioural Practises, and Psychological Impact Relating to COVID-19 Among People Living With Spinal Cord Injury During In-Patient Rehabilitation in Bangladesh

Knowledge, Attitudes, Behavioural Practises, and Psychological Impact Relating to COVID-19 Among People Living With Spinal Cord Injury During In-Patient Rehabilitation in Bangladesh

Frontiers in Neurology, 2022 · DOI: 10.3389/fneur.2021.739354 · Published: February 7, 2022

Spinal Cord InjuryCOVID-19Neurorehabilitation

Simple Explanation

This study aimed to understand how people with spinal cord injuries (SCI) in Bangladesh perceive and react to COVID-19, focusing on their knowledge, attitudes, behaviors, and mental health during rehabilitation. Researchers surveyed 207 SCI patients undergoing in-patient rehabilitation, assessing their knowledge of COVID-19, their attitudes towards the pandemic, their preventative practices, and their levels of depression, anxiety, and stress. The study found that while participants generally had good knowledge and positive behaviors related to COVID-19 prevention, many also reported high levels of depression, anxiety, and stress, highlighting the pandemic's significant psychological impact on this vulnerable population.

Study Duration
3 Months
Participants
207 people with SCI
Evidence Level
Cross-sectional survey

Key Findings

  • 1
    Participants generally demonstrated a satisfactory level of knowledge regarding COVID-19, with an overall mean knowledge score of 8.59 ± 2.3 out of 12.
  • 2
    The study revealed that 52.7% of participants experienced mild to extremely severe levels of depression, with 6.8% and 5.8% reporting severe and extreme depression, respectively.
  • 3
    Statistical analysis indicated significant associations between knowledge and factors such as gender, age, and education level, as well as a correlation between depression and anxiety scores.

Research Summary

This study investigated the knowledge, attitudes, behavioral practices, and psychological impact of COVID-19 among people with spinal cord injury (SCI) undergoing in-patient rehabilitation in Bangladesh. The findings showed that while participants had satisfactory knowledge and positive attitudes towards COVID-19 prevention, many also experienced high levels of depression, anxiety, and stress. The study highlights the need for targeted interventions to address the psychological well-being of individuals with SCI during pandemics and similar health crises.

Practical Implications

Targeted Interventions

Develop and implement mental health support programs specifically designed for individuals with SCI during pandemics.

Educational Strategies

Enhance educational efforts to improve COVID-19 knowledge and promote positive behavioral practices among vulnerable populations, especially in rural areas.

Rehabilitation Support

Integrate psychological support into rehabilitation programs to address the high levels of depression, anxiety, and stress experienced by SCI patients.

Study Limitations

  • 1
    The study population was limited to those receiving active in-patient rehabilitation.
  • 2
    The data do not reflect those people with SCI who stayed at home during this time.
  • 3
    Data was collected only once, precluding comparison of changes in KAP before/after rehabilitation.

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